儿童蛔虫病的腹部并发症。

IF 2.8 4区 医学 Q1 PEDIATRICS Jornal de pediatria Pub Date : 2024-03-21 DOI:10.1016/j.jped.2024.02.001
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引用次数: 0

摘要

目的:蛔虫病并发症是儿科急诊腹痛的一个重要原因,尤其是在蛔虫病流行的地方。为了改进对这些患者的诊断和治疗方法,我们进行了一次文献综述:使用关键词 "蛔虫病并发症 "和 "肝胆蛔虫病 "在 PubMed 上进行了搜索。检索策略包括截至 2023 年 12 月发表的荟萃分析、随机对照试验、临床试验、观察性研究、病例报告和综述:研究结果摘要:小肠阻塞是最常见的并发症。其他并发症,如胆道、肝脏和胰腺并发症、急性阑尾炎、梅克尔憩室炎或腹膜肉芽肿,则更为罕见,也更难正确识别和治疗。与成人相比,儿童的肝脏和胰腺并发症更为罕见和严重。在肠梗阻病例中,平片检查通常是唯一的选择,而在儿童肝胆、胰腺和阑尾蛔虫病并发症病例中,超声波检查则是首选检查方法。对大多数患者来说,治疗方法是临床保守治疗。如果保守治疗无效或出现并发症迹象,则应进行手术治疗。腹腔镜是治疗成人蛔虫病肝胆并发症的最佳技术选择,但仍需对其在儿童中的应用进行进一步研究:结论:为了更好地了解蛔虫病,并对因蛔虫大量感染而出现并发症的儿童进行早期诊断和适当治疗,应鼓励制定相关方案并就此展开更多讨论。
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Abdominal complications of ascariasis in childhood

Objective

Complications of ascariasis are a significant cause of abdominal pain in pediatric emergencies, especially where it is endemic. A literature review was conducted with the aim of improving diagnostic and therapeutic approaches for these patients.

Data sources

A PubMed search was conducted using the key terms “ascariasis complications” and “hepatobiliary ascariasis”. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, case reports, and reviews published up to December 2023.

Summary of findings

Obstruction of the small bowel is the most common complication. Others that are, rarer and more difficult to properly identify and treat, such as biliary, hepatic, and pancreatic complications, acute appendicitis, Meckel's diverticulitis, or peritoneal granulomas. Hepatic and pancreatic complications are rarer and more serious in children than in adults. While plain radiography is usually the only option in cases of intestinal obstruction, ultrasonography is the examination of choice in cases of hepatobiliary, pancreatic, and appendicular ascariasis complications in childhood. The treatment is clinical and conservative in most patients. Surgical treatment is indicated if conservative therapy fails, or if there are signs of complications. Laparoscopy has been used as an excellent technical alternative in adults with hepatobiliary complications of ascariasis, but further studies on its use in children are still needed.

Conclusion

The creation of protocols and greater debate on this subject should be encouraged for a better understanding of the disease and to establish an early diagnosis and adequate treatment for children with complications resulting from massive infestation by Ascaris lumbricoides.

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来源期刊
Jornal de pediatria
Jornal de pediatria 医学-小儿科
CiteScore
5.60
自引率
3.00%
发文量
93
审稿时长
43 days
期刊介绍: Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.
期刊最新文献
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